| NPI | 1336139716 |
|---|---|
| Former Name | CAROL ANN KLAVONICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP100766) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX 458908) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 458908) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2020-08-28 |