NPI | 1174024160 |
---|---|
Former Name | TARENNE A FERENCHAK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP018378) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LP-0000242) |
Enumeration Date | 2018-02-24 |
Last Update Date | 2024-06-17 |