NPI | 1720319957 |
---|---|
Former Name | STACY L. WHEELER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2010003527) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2005007610) |
Enumeration Date | 2010-01-28 |
Last Update Date | 2010-07-19 |