| NPI | 1740247758 |
|---|---|
| Former Name | BETTY DIANNE ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3003065) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2024-06-25 |