| NPI | 1780864181 |
|---|---|
| Former Name | STACEY SPOHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN591835) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 5512961) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 279379) | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2019-01-18 |