| NPI | 1790740843 |
|---|---|
| Former Name | SHIRLEY ANN TECCA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1045691) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP2697142) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2007-07-08 |