NPI | 1255877957 |
---|---|
Professional Name | TARA MCKITTRICK BRAEMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95005845) |
Enumeration Date | 2017-01-18 |
Last Update Date | 2017-02-28 |