| NPI | 1699146779 |
|---|---|
| Former Name | TAMMY MCPHEETERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005859A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005859A) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2023-04-14 |