NPI | 1417519018 |
---|---|
Former Name | TARA DAWN GARTLING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 207405) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OK 207405) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD CNM-R211050) | |
Enumeration Date | 2019-07-03 |
Last Update Date | 2025-02-12 |