| NPI | 1891082020 |
|---|---|
| Former Name | TAMARA J SHORTRIDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3006732) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 69920) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2024-06-27 |