| NPI | 1851686448 |
|---|---|
| Former Name | STACEY FLEGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704230441) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704230441) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2015-04-14 |