| NPI | 1790071777 |
|---|---|
| Former Name | STACEY MARIE GRUBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-109664) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |