| NPI | 1972086775 |
|---|---|
| Former Name | Q HARTZ DYKES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 0000024732) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 24732) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 24732) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 24732) | |
| Enumeration Date | 2018-09-08 |
| Last Update Date | 2020-03-16 |