| NPI | 1790784189 |
|---|---|
| Former Name | JOAN FAMBROUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3007567) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 042255) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2023-11-06 |