| NPI | 1750894945 |
|---|---|
| Former Name | CATHERINE MICHELLE TILLERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024175642) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001185554) |
| 363L00000X Nurse Practitioner (Licence: VA 0024175642) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024175642) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024175642) | |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2023-12-06 |