| NPI | 1366480618 |
|---|---|
| Former Name | JEAN C WAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD11868) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD00043137) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2008-01-30 |