| NPI | 1629174578 |
|---|---|
| Former Name | TAMMY J VICARI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9112219) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: PA RN291664L) |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA002095L) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2022-12-08 |