| NPI | 1609304898 |
|---|---|
| Former Name | STACEY ANN STAAB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NR17847400) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN615228) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2024-02-05 |