| NPI | 1306495965 |
|---|---|
| Former Name | STEPHANIE ELIZABETH PURTELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 129354) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2019-09-06 |