| NPI | 1720648686 |
|---|---|
| Former Name | TINA HOOVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71009019) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71009019A) |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2024-03-13 |