| NPI | 1316613854 |
|---|---|
| Former Name | TRACY DELOS SANTOS PENAFLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ01177800) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2021-09-08 |