NPI | 1992207930 |
---|---|
Former Name | FANNY EGBE TANYI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP136186) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX F10171122) |
363LF0000X Nurse Practitioner, Family (Licence: TX AP136186) | |
Enumeration Date | 2018-03-06 |
Last Update Date | 2021-04-08 |