| NPI | 1811389869 |
|---|---|
| Former Name | SHANTE NICOLE TUMBLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN192017) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN192017) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2021-02-22 |