| NPI | 1861018988 |
|---|---|
| Former Name | TYMBER LEE TATUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007399) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11007399) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2024-08-13 |