| NPI | 1194052456 |
|---|---|
| Former Name | TISHA Y ATEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: CA 23142) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: UT 6225962-4405) |
| Enumeration Date | 2009-11-06 |
| Last Update Date | 2018-08-23 |