| 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 |