| NPI | 1336708510 |
|---|---|
| Former Name | ELLEN WILBUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NH 072015-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2302099) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2021-09-07 |