| NPI | 1467695106 |
|---|---|
| Former Name | TAMMY FARR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO 5590) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO APN.0005590-NP) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2024-07-17 |