| NPI | 1699021709 |
|---|---|
| Former Name | TAMBARI MATO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP121828) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 558615) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2023-03-21 |