| 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 |