| NPI | 1407900749 |
|---|---|
| Former Name | MARY ALICIA WHEELER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 3903) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 235973) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2022-02-03 |