| NPI | 1508575374 |
|---|---|
| Former Name | TYLER SKAGGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0036047) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95023282) |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2024-09-23 |