| NPI | 1083968978 |
|---|---|
| Former Name | TAMRA R EHLTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71006229A) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209-009796) |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2016-05-09 |