NPI | 1245593011 |
---|---|
Former Name | TRESSIE J.APPLEWHITE MARTIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 751483) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 751483) |
Enumeration Date | 2012-06-18 |
Last Update Date | 2020-08-11 |