| NPI | 1215917976 |
|---|---|
| Former Name | MADGE ELVERA EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC APN1305) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN153489) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-01-21 |