NPI | 1326038548 |
---|---|
Former Name | TESSA J. GARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001985A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28153975A) |
363L00000X Nurse Practitioner (Licence: IN 71001985) | |
363L00000X Nurse Practitioner (Licence: IN 71001985A) | |
Enumeration Date | 2005-10-27 |
Last Update Date | 2020-11-19 |