| NPI | 1952678773 |
|---|---|
| Former Name | TANYA-ANN MARIE O'SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9229810) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9229810) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2022-01-25 |