NPI | 1982147765 |
---|---|
Former Name | TORI EUBANKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR R096201) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009174) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-11-28 |
Last Update Date | 2019-02-07 |