| 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 |