| NPI | 1609013929 |
|---|---|
| Former Name | TANGY NICOLE KINCAID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP117858) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 777455) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2019-05-28 |