| NPI | 1639409394 |
|---|---|
| Former Name | DEANNA MARY EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2011040587) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR CTP-000120) |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2012-11-28 |