| NPI | 1497092928 |
|---|---|
| Former Name | TARA LAMESA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 005200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 87625) |
| 163W00000X Registered Nurse (Licence: MA RN2269388) | |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2015-07-14 |