| NPI | 1073627592 |
|---|---|
| Former Name | TANYA WATERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VT 101.0024948) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: VT 1010024948) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2023-07-20 |