| NPI | 1306488697 |
|---|---|
| Former Name | NANCY BOGARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3014220) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1135722) |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2022-02-16 |