| NPI | 1154953099 |
|---|---|
| Former Name | TAMARA D METTLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209027013) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28249915A) |
| 363L00000X Nurse Practitioner (Licence: IN 71009794A) | |
| Enumeration Date | 2020-02-09 |
| Last Update Date | 2024-12-26 |