| NPI | 1154736841 | 
|---|---|
| Former Name | TRICIA YEASTER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704253839)  | 
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704253839)  | 
| Enumeration Date | 2014-06-22 | 
| Last Update Date | 2022-10-25 |