NPI | 1952779449 |
---|---|
Former Name | TAMMY L MOLINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV APRN002035) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NV RN55701) |
Enumeration Date | 2015-09-14 |
Last Update Date | 2021-02-06 |