| NPI | 1922560986 |
|---|---|
| Former Name | COURTNEY ELAINE GAZAWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2019021910) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-06-22 |