| NPI | 1194869925 |
|---|---|
| Former Name | BECKY STAMBAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: AZ 071397) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-07-08 |