| NPI | 1629638440 |
|---|---|
| Former Name | TAMARA A DIMAIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN11003092) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN319814) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003092) | |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2024-03-29 |