| NPI | 1174829386 |
|---|---|
| Former Name | STACY HARRISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA rn170998) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC R109902) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R179251) | |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2015-07-14 |