| NPI | 1447825070 |
|---|---|
| Former Name | TIERRA KAYE PENICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28223444A) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2024-10-11 |