| NPI | 1235494329 |
|---|---|
| Other Name | TAMRA BIESECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A005106) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS TMP145228) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2024-03-12 |