NPI | 1326817453 |
---|---|
Former Name | TARRAH JAYDE CROWDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MS 906427) |
Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: MS 910463) |
363LF0000X Nurse Practitioner Family (Licence: TN 35363) | |
Enumeration Date | 2023-12-29 |
Last Update Date | 2024-04-17 |