NPI | 1730431206 |
---|---|
Former Name | STEPHANIE L PEDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN16960) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN RN153290) |
Enumeration Date | 2012-10-09 |
Last Update Date | 2013-02-07 |