| NPI | 1831834290 |
|---|---|
| Former Name | CALLIE ANNE TIERNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 120955) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 92490) |
| Enumeration Date | 2022-04-30 |
| Last Update Date | 2024-10-19 |