| NPI | 1790089696 |
|---|---|
| Former Name | STEPHANIE K CLYMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-160183) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9241738) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2017-03-29 |