NPI | 1124535471 |
---|---|
Former Name | TAMARA DAWN ARNOLD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9191617) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL ARNP9191617) |
Enumeration Date | 2018-01-09 |
Last Update Date | 2018-01-09 |