NPI | 1275687816 |
---|---|
Professional Name | PHYLLIS ANN WIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN045468) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN045468 CRNA) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2014-04-17 |