| NPI | 1356613590 |
|---|---|
| Former Name | TAMRA L DOMESCIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209009362) |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2022-01-06 |