NPI | 1942759766 |
---|---|
Former Name | LINDSEY KATHERINE TATUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MS 901759) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MS 883204) |
Enumeration Date | 2016-09-22 |
Last Update Date | 2021-12-08 |