| NPI | 1013942473 |
|---|---|
| Former Name | TAMMY LEA ARCHIBALD/CEBALLOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 3311522) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2023-05-05 |