| NPI | 1255502423 |
|---|---|
| Former Name | STEPHANIE FALLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 202001122CRNA) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041330442) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-007324) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209007324) | |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2024-05-09 |