NPI | 1962476788 |
---|---|
Former Name | TONYA M. CAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN106935) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: GA RN106935 NP) |
Enumeration Date | 2006-02-16 |
Last Update Date | 2019-08-06 |