| NPI | 1992460414 |
|---|---|
| Former Name | MACY SUPLICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP1065202) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 902838) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2022-09-21 |