NPI | 1811144413 |
---|---|
Former Name | TONYA HAUFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2008022475) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008905) |
Enumeration Date | 2008-08-26 |
Last Update Date | 2022-06-06 |