| NPI | 1942752407 |
|---|---|
| Professional Name | TANISHA ALLEN PATILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09068) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN127133) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2020-01-02 |