| NPI | 1144045444 |
|---|---|
| Former Name | TARA CARSTENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 15899-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 197282-30) |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-12-13 |