| NPI | 1720793466 |
|---|---|
| Former Name | TARA ASHLYN BRUMBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OK 220664) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0135424) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2025-11-20 |