| NPI | 1932145042 |
|---|---|
| Former Name | HEATHER L FAZAKERLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 004328) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 181281) |
| 163W00000X Registered Nurse (Licence: CT 092714) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2015-09-04 |