| 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 |