NPI | 1396225629 |
---|---|
Former Name | CASSANDRA M TONKINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP019092) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP019092) |
Enumeration Date | 2018-08-16 |
Last Update Date | 2021-07-28 |