| NPI | 1700022845 |
|---|---|
| Former Name | LIBERTY TAMBASACAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN528329L) |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2013-02-22 |