| NPI | 1043458581 |
|---|---|
| Former Name | EILEEN LOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 7020) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 5961) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2024-11-11 |