| NPI | 1770959009 |
|---|---|
| Former Name | TAMARA LOUISE TROUTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 4079) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP 4079) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MN CNP 4079) | |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2022-07-21 |