NPI | 1184914327 |
---|---|
Former Name | TANYA M DEMERITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: FL APRN9464414) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: KY 3006849) |
363LN0000X Nurse Practitioner, Neonatal (Licence: CT 6537) | |
Enumeration Date | 2011-04-08 |
Last Update Date | 2023-09-05 |