NPI | 1538458658 |
---|---|
Former Name | TYESHI RICHART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 17724) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 17724) |
Enumeration Date | 2011-03-29 |
Last Update Date | 2024-05-29 |