| NPI | 1588853741 |
|---|---|
| Former Name | TAMMY LEE ANN BARTHOLOMEW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019527) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2002016318) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2021-07-14 |