| NPI | 1336353994 |
|---|---|
| Former Name | TAMARA THRALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OR 096003030rnrn) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |