| NPI | 1164768321 |
|---|---|
| Former Name | TAMARA JOSEPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2264091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2264091) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2024-08-31 |