| NPI | 1245639830 |
|---|---|
| Former Name | RAEANNE SAVAGE TATEM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: NC 20227375) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 5007103) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2022-07-11 |