| NPI | 1174604946 |
|---|---|
| Former Name | TAMMY LEA SKINNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 671878) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV APRN001724) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2015-08-20 |