| NPI | 1568464337 |
|---|---|
| Former Name | DIANE PANGONIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN275700L) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN-275700-L) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: PA 044096) | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2023-05-15 |