| NPI | 1376088286 |
|---|---|
| Former Name | ERICA CHARISSE TULLISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374T00000X Religious Nonmedical Nursing Personnel (Licence: TN 140189) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-01-01 |
| Last Update Date | 2017-01-01 |