| NPI | 1053697284 |
|---|---|
| Former Name | TAMMY ANN HARCLEROAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 33 336948) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 336948) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2023-07-06 |