| NPI | 1275524415 |
|---|---|
| Former Name | TALITHA M CLISBY-MASSAQUOI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN501816L) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2022-01-11 |