| NPI | 1639342009 |
|---|---|
| Former Name | TASHA ANNE BECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 3897) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R162362) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP013581) | |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2015-07-30 |