| NPI | 1609892157 |
|---|---|
| Former Name | KAREN ELAINE TAVOLACCI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704203734) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2009-05-19 |