NPI | 1275587206 |
---|---|
Former Name | TOMIA F BOOT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MS 732001) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: MS R732001) |
Enumeration Date | 2006-05-22 |
Last Update Date | 2024-03-25 |