| NPI | 1922434984 |
|---|---|
| Former Name | STEPHANIE COLLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN604827) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2014-06-09 |