NPI | 1881132983 |
---|---|
Former Name | ALLISON TIERNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP016476) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP016476) |
Enumeration Date | 2017-02-08 |
Last Update Date | 2023-09-28 |