NPI | 1295775179 |
---|---|
Former Name | TACHARRA YVETTE DEGALE WOODARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP114200) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 715524) |
363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP114200) | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2023-01-25 |