| NPI | 1285044552 |
|---|---|
| Former Name | EDNA MARIE TUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TN 22028) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: AZ AP5499) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2022-10-19 |