| NPI | 1215044052 |
|---|---|
| Former Name | TONNY MCCREA DEMENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A001753) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A01753) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 147859) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2023-11-24 |