| NPI | 1992765614 |
|---|---|
| Former Name | THERESA ANN BERTUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP1485122) |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2007-07-08 |