| NPI | 1760459523 |
|---|---|
| Former Name | BONNIE SHAWVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WY 23424.0825) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: CO 162016) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2013-09-12 |