| NPI | 1366944613 |
|---|---|
| Former Name | TAMARA GEORGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: KS 52155) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: KS 205483) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2021-02-05 |