NPI | 1881258416 |
---|---|
Former Name | TAMMY ELAINE ESHELMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 224943) |
Enumeration Date | 2019-04-29 |
Last Update Date | 2022-09-20 |