| NPI | 1295879013 |
|---|---|
| Former Name | TINA VINCENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0000525) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE l10033340) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000525) | |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2024-11-12 |