| NPI | 1972539096 |
|---|---|
| Former Name | TAMARA LEIGH GRISHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-075814) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2010-05-24 |