| NPI | 1063750719 |
|---|---|
| Former Name | TAMRA DEE WARNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006513) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA11425) |
| 363A00000X Physician Assistant (Licence: CA 22804) | |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2022-01-16 |