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 |