| NPI | 1386067932 |
|---|---|
| Former Name | RENEE MARIE TABER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9295301) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 267765) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 103161) | |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2019-03-28 |