NPI | 1639105828 |
---|---|
Former Name | DEBRA STEGALL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 49062) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9255984) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2015-03-31 |