NPI | 1083216287 |
---|---|
Other Name | TANYA RENEE RYDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 107016) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 107016) |
Enumeration Date | 2020-11-12 |
Last Update Date | 2023-07-24 |