| NPI | 1063404010 |
|---|---|
| Former Name | TAMARA CHRISTINE SCOTT-GANTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 002528) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 066334) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AR C01203) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA83338) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2019-05-03 |