| NPI | 1992850929 |
|---|---|
| Former Name | ELIZABETH DIANA GENTRY - BREEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 060857) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2014-12-23 |