| NPI | 1558356766 |
|---|---|
| Former Name | TAMMY SUE NOGGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71000481A) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71000481A) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2025-01-02 |