| NPI | 1659763134 |
|---|---|
| Other Name | TYRA JOHNSON WELSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP08242) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN117922) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2021-05-20 |