| NPI | 1821342205 |
|---|---|
| Former Name | SHIVAWN ROSE BILBERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 749921) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2014-05-21 |