NPI | 1760769947 |
---|---|
Other Name | TAMARA CHERRY |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 294865) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CT 40533) |
Enumeration Date | 2011-11-15 |
Last Update Date | 2022-04-17 |