| NPI | 1295080497 |
|---|---|
| Former Name | DIANA FAGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA APRN-CRNA193815) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2026-03-27 |