NPI | 1629354634 |
---|---|
Former Name | PATRICIA G TARRANT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9102) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP000978) |
363LF0000X Nurse Practitioner, Family (Licence: TX 751526) | |
Enumeration Date | 2011-10-24 |
Last Update Date | 2020-02-13 |