| NPI | 1780645325 |
|---|---|
| Former Name | CHERYL WILSON WAGNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024055809) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2007-07-08 |