NPI | 1336626241 |
---|---|
Former Name | CATHERINE ELIZABETH TOMBERLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN256596) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN256596) |
Enumeration Date | 2018-07-24 |
Last Update Date | 2018-07-24 |