| NPI | 1689243487 |
|---|---|
| Former Name | TESSA LYNN FARLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ RNP258091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN196622) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2023-12-18 |