| NPI | 1538483748 |
|---|---|
| Former Name | DOROTHY LYNNE AVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2010008320) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2017-07-25 |