| NPI | 1821603945 |
|---|---|
| Former Name | LATAMYA TYLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011471) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0011471) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC006597) | |
| 163W00000X Registered Nurse (Licence: MD R266301) | |
| 163W00000X Registered Nurse (Licence: DE L1-0045084) | |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2024-06-25 |