| NPI | 1912355645 |
|---|---|
| Former Name | MEAGAN ASHLEY STARK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9293695) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9293695) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2020-05-05 |