| NPI | 1851664304 |
|---|---|
| Former Name | ALICIA MARJORIE WIRTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R29493) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2019-03-26 |