NPI | 1205289568 |
---|---|
Former Name | TANA WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: VA 0024174936) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174936) |
Enumeration Date | 2016-07-21 |
Last Update Date | 2019-02-15 |