| NPI | 1689766560 |
|---|---|
| Other Name | MARIAN PATRICIA LOGUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: DE L10020916) |
| Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: DE L10020916) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2011-10-01 |