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 |