| NPI | 1861435331 |
|---|---|
| Other Name | STACEY L KORNBRUST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP3315182) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-10-15 |