| NPI | 1699597229 |
|---|---|
| Former Name | TAMARA TAYLOR LIPPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN228984) |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-25 |