| NPI | 1306245154 |
|---|---|
| Former Name | FAYELYN JEAN MATTHEWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 102653) |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2015-11-13 |