| NPI | 1790356947 |
|---|---|
| Former Name | JENNIFER STEPHANIE STEPHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2024001085) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2025-06-19 |