| NPI | 1689210254 |
|---|---|
| Former Name | TANNEH MARTHA SWEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R215921) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1037486) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R215921) | |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2026-08-18 |