NPI | 1427341650 |
---|---|
Former Name | TAMIKA COUNTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 250344) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN 189221) |
Enumeration Date | 2011-05-20 |
Last Update Date | 2020-07-10 |