| NPI | 1184619306 |
|---|---|
| Former Name | VIRGINIA LANE EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 1072826/4024A) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2022-11-07 |