NPI | 1093074700 |
---|---|
Former Name | ABBY J. WEGENER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704254625) |
Enumeration Date | 2012-05-15 |
Last Update Date | 2014-10-23 |