NPI | 1902314479 |
---|---|
Other Name | TONYA LYNN SUCCIO KNOX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9203788) |
Enumeration Date | 2018-01-17 |
Last Update Date | 2024-04-30 |