| 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 |