| NPI | 1093128647 |
|---|---|
| Former Name | CARRIE ANN DYSART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN19119) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000162595) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2015-04-09 |