| NPI | 1609266618 |
|---|---|
| Former Name | TABITHA RUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-110086) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AL 1-110086) |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2024-01-31 |