| NPI | 1487707907 |
|---|---|
| Former Name | SUZANNE ELISE TANCOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 054282) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP113170) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2022-01-19 |