NPI | 1003381856 |
---|---|
Former Name | TASHA EVE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 24706) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 180870) |
Enumeration Date | 2018-10-09 |
Last Update Date | 2024-04-02 |