| NPI | 1205043270 |
|---|---|
| Former Name | TARA A. KONRADY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MO 083657) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 083657) |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: MO 083657) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2018-02-23 |