| NPI | 1801278221 |
|---|---|
| Former Name | MARY CHANDLER OVERSTREET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 20242) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000183471) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2022-09-21 |