| NPI | 1366523227 |
|---|---|
| Former Name | JUDY WAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9492035) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 43053) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2019-11-22 |