| NPI | 1639139892 |
|---|---|
| Former Name | TAMARA S BREVIK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 2325) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN R130953-5) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-11-10 |