| NPI | 1720263734 |
|---|---|
| Former Name | KAYAO TAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 273320) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 273320) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2021-11-15 |