NPI | 1497847677 |
---|---|
Former Name | TONYA LEIGH SUTHERLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3003597) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3597P) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2022-10-12 |