| NPI | 1760247985 |
|---|---|
| Former Name | TINA MARIE BILLINGSLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 309654) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN108757) |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2024-11-27 |