| NPI | 1629444880 |
|---|---|
| Former Name | STEPHANIE CENTRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP141337) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 630989) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2022-03-18 |