NPI | 1215766621 |
---|---|
Former Name | TAMMY RYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 80213) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 80213) |
Enumeration Date | 2024-08-01 |
Last Update Date | 2024-08-01 |