| NPI | 1619127420 |
|---|---|
| Former Name | TAMAR AVATAR SHIRRIELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R165813) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R165813) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2019-09-26 |