| NPI | 1114473824 |
|---|---|
| Former Name | AMY ANNE TYCZYNSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP131169) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2019-03-11 |