| NPI | 1265943088 |
|---|---|
| Former Name | TIANNA MARIE COLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NE 66740) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: NE 66740) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |