| NPI | 1467095174 |
|---|---|
| Former Name | TAMAR WOLKENFELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-79205) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2019041346) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2019041346) | |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2025-07-21 |