| NPI | 1780168179 |
|---|---|
| Former Name | TAMARA R TASSY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403839) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 98572) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2021-11-19 |