| NPI | 1861961112 |
|---|---|
| Former Name | STACI LYNN STANBROUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 123968) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2020-02-28 |