NPI | 1972597979 |
---|---|
Former Name | SALLIE JANE STOLTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN358506L) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R082178) |
Enumeration Date | 2005-09-06 |
Last Update Date | 2023-03-28 |