| NPI | 1851010169 |
|---|---|
| Former Name | DANA RENEE FULLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28185822A) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2023-12-07 |