| NPI | 1699481622 |
|---|---|
| Former Name | CYNTHIA ELAINE DAMRON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 33418) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 33418) |
| 363L00000X Nurse Practitioner (Licence: TN F01230098) | |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2024-10-15 |