NPI | 1245287754 |
---|---|
Former Name | TARYN LISA SEIDEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 095000198N3) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR 0950000198RN) |
Enumeration Date | 2006-05-28 |
Last Update Date | 2019-08-21 |