NPI | 1679745699 |
---|---|
Professional Name | TJADA S GARVIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F311885) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 578008) |
Enumeration Date | 2008-03-31 |
Last Update Date | 2024-08-21 |