| NPI | 1770548075 |
|---|---|
| Former Name | TANETTA C HOVEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2000167490) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA a-112035) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2019-06-19 |