NPI | 1497469316 |
---|---|
Former Name | TARA ANN HARMELINK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP002641) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD F09220897) |
Enumeration Date | 2023-01-06 |
Last Update Date | 2023-04-21 |