| 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 |