NPI | 1922404375 |
---|---|
Former Name | CHERRIE ANN TOMELDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126906) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 691914) |
Enumeration Date | 2014-11-12 |
Last Update Date | 2021-07-13 |