| NPI | 1053677039 |
|---|---|
| Former Name | STEPHANIE L BOSENBARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN555917) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2025-10-10 |