NPI | 1346371663 |
---|---|
Former Name | TAMMY L HOSTETLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 20432) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN112985) |
363LF0000X Nurse Practitioner Family (Licence: GA RN112985NP) | |
Enumeration Date | 2007-03-08 |
Last Update Date | 2019-04-04 |