| NPI | 1538581376 |
|---|---|
| Former Name | ELIZABETH AGNES MANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704266025) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2020-10-19 |