| NPI | 1508148834 |
|---|---|
| Former Name | TRACY DI VILIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH RN.335969) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 335969) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: IN 28211599A) | |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2023-02-14 |