| NPI | 1013227602 |
|---|---|
| Former Name | TAMARA JOY DICKINSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10033409) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201041674RN) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2024-10-28 |