| NPI | 1659751105 |
|---|---|
| Former Name | STEPHANIE GONDEK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MT 185186) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 106621) |
| Enumeration Date | 2015-05-30 |
| Last Update Date | 2024-01-18 |