NPI | 1205392651 |
---|---|
Former Name | HANNAH R TIPTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37836) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 223827) |
Enumeration Date | 2019-02-11 |
Last Update Date | 2025-05-23 |