| NPI | 1801561089 |
|---|---|
| Former Name | KOURTNEY ALIS TUKES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN266250) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN266250) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN266250) | |
| 363L00000X Nurse Practitioner (Licence: GA RN266250) | |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2024-02-12 |