| NPI | 1457630436 |
|---|---|
| Former Name | TESSA MARIE WIRTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 163130-0) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2017-04-17 |