| NPI | 1447250030 |
|---|---|
| Other Name | STEPHANIE L ELLICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 070448) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2024-04-30 |