| NPI | 1063791036 |
|---|---|
| Former Name | LISA MARIE TATKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 87184) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 213867) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2023-06-07 |