| NPI | 1871692657 |
|---|---|
| Former Name | DEBORAH A TIETZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 8408) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R1378524) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2024-07-25 |