NPI | 1528667870 |
---|---|
Former Name | DELICIA M TYLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013649) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5013649) |
Enumeration Date | 2020-10-19 |
Last Update Date | 2024-03-25 |