| NPI | 1902144124 |
|---|---|
| Former Name | BRANDI LYNN STARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP123146) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2017-07-21 |