| NPI | 1972724094 |
|---|---|
| Former Name | STEPHANIE WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 77620) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209-006658) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-10-24 |