| NPI | 1306411186 |
|---|---|
| Former Name | CHARNIECE TASHEE WILCOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-151543) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-151543) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2025-08-08 |