NPI | 1780832691 |
---|---|
Former Name | MARCI ANN TARASE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX 844812) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL ARNP9166284) |
363L00000X Nurse Practitioner (Licence: FL ARNP9166284) | |
Enumeration Date | 2008-09-04 |
Last Update Date | 2014-09-25 |