| NPI | 1003099664 |
|---|---|
| Former Name | TAMMY A SKINNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: LA AP 04714) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2008-05-08 |