| NPI | 1275913048 |
|---|---|
| Former Name | TANYA HILLEGASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08232) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 08232) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: LA AP08232) | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2023-07-28 |