NPI | 1093147043 |
---|---|
Former Name | STEPHANIE FREEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209010554) |
Enumeration Date | 2013-08-01 |
Last Update Date | 2021-05-19 |