| NPI | 1619036175 |
|---|---|
| Former Name | STEPHANIE GISELE RUSSELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 076390) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2023-09-20 |