| NPI | 1629379334 |
|---|---|
| Former Name | KRYSTLE RAE STEVENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R193407) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 195172) |
| 163W00000X Registered Nurse (Licence: MD R193407) | |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2019-10-20 |