NPI | 1669973020 |
---|---|
Professional Name | TAMMY DUBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9202347) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 9202347) |
Enumeration Date | 2018-02-21 |
Last Update Date | 2021-07-26 |