| NPI | 1275990699 |
|---|---|
| Former Name | TARYN COSTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95006039) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 827062) |
| Enumeration Date | 2016-01-16 |
| Last Update Date | 2020-03-10 |