NPI | 1669672275 |
---|---|
Former Name | TONYA L. BARRETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000138) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.006671) |
Enumeration Date | 2007-07-21 |
Last Update Date | 2020-10-23 |