NPI | 1700310406 |
---|---|
Former Name | TIA SHOMBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2010025473) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 43557509011) |
Enumeration Date | 2017-04-19 |
Last Update Date | 2019-01-21 |