NPI | 1740437680 |
---|---|
Former Name | TAMARA R. ZULEWSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005299) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA 160167) |
Enumeration Date | 2008-08-22 |
Last Update Date | 2018-01-23 |