| NPI | 1598724833 |
|---|---|
| Former Name | STEPHANIE LEILANI SAJULGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2001031005) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK R0062957) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-07-08 |