| 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 |