| NPI | 1528249315 |
|---|---|
| Former Name | TAMARA MARIED PRUSAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN.481361) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.481361) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2023-02-01 |