NPI | 1174567085 |
---|---|
Other Name | TYROMA DENISE HENDRIX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 16082) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: TN 1874DC) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2021-09-29 |