| NPI | 1457740185 |
|---|---|
| Former Name | AMY DIANE GULLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9288726) |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2015-08-13 |