NPI | 1356854657 |
---|---|
Former Name | BREE THARPE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5010044) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010044) |
Enumeration Date | 2017-11-08 |
Last Update Date | 2022-01-28 |