NPI | 1174171748 |
---|---|
Former Name | TARA LYN NORTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009513A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28160883A) |
Enumeration Date | 2019-08-27 |
Last Update Date | 2020-10-05 |