NPI | 1578848388 |
---|---|
Former Name | STACIE ANN KRUEGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN.301737) |
Enumeration Date | 2011-10-13 |
Last Update Date | 2016-12-05 |