| NPI | 1003346909 |
|---|---|
| Former Name | TARA LEEANN HAMILTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN227394) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-164421) |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP181263) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2021-08-27 |