| NPI | 1033412234 |
|---|---|
| Former Name | BONNIE ELIZABETH REAGIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA123034) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 104007) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2013-05-24 |