| NPI | 1821295973 |
|---|---|
| Former Name | TAMARA LYNN WARNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 745913) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH 241758) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2007-09-20 |