NPI | 1336328749 |
---|---|
Former Name | STEPHANIE BETH EVITTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 1096558) |
Enumeration Date | 2007-11-01 |
Last Update Date | 2018-09-22 |