| NPI | 1184612665 |
|---|---|
| Former Name | EMILY M MATTINGLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024166417) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2017-12-08 |