NPI | 1184996019 |
---|---|
Former Name | TAMMY LYNN WESTWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2012004401) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MO 2012004401) |
Enumeration Date | 2012-02-08 |
Last Update Date | 2022-02-16 |