NPI | 1184026130 |
---|---|
Former Name | DEBRA ELAINE TOWERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007220) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5007220) |
Enumeration Date | 2014-09-22 |
Last Update Date | 2023-08-09 |