| NPI | 1255293056 |
|---|---|
| Former Name | TARA BREYMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 162135) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: IA 162135) |
| 163WC2100X Registered Nurse, Continence Care (Licence: IA 162135) | |
| 163WE0900X Registered Nurse, Enterostomal Therapy (Licence: IA 162135) | |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: IA 162135) | |
| Enumeration Date | 2025-12-01 |
| Last Update Date | 2025-12-01 |