| NPI | 1255539722 |
|---|---|
| Former Name | SHARON MARIE WAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 3248) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC APRN 3248) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2022-03-23 |