| NPI | 1720090848 |
|---|---|
| Former Name | TRACY A'LISA CARSWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN12294) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN146210) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN159439) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2009-05-19 |