NPI | 1629552559 |
---|---|
Former Name | BRITTANY ELAINE STOA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R46673) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 122700) |
Enumeration Date | 2018-09-17 |
Last Update Date | 2019-02-25 |