| NPI | 1093387805 |
|---|---|
| Former Name | STACY ALLISON WATKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.0020323) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2021-07-12 |