| NPI | 1326667676 |
|---|---|
| Former Name | TARA MARIE DEVORSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NE 101576) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NE 77804) |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2026-06-15 |