| NPI | 1265563365 |
|---|---|
| Former Name | TARA RAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MS R857140) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 25215) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2025-04-29 |