NPI | 1205453164 |
---|---|
Former Name | BRITTNEY ANNE TOLLES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN222502) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN222502) |
Enumeration Date | 2020-06-26 |
Last Update Date | 2021-01-12 |