| NPI | 1528339991 |
|---|---|
| Former Name | ANDREA STEVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024188825) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704247252) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704247252) | |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2023-11-28 |