NPI | 1194792093 |
---|---|
Former Name | TAMARA HEGLAR WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 95127) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 900457) |
Enumeration Date | 2006-03-01 |
Last Update Date | 2023-03-16 |