NPI | 1013630797 |
---|---|
Former Name | TARA ASHLEY COX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10009584) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 50884) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WY 50884) | |
Enumeration Date | 2022-09-19 |
Last Update Date | 2023-08-03 |