NPI | 1821510538 |
---|---|
Former Name | TARA LEANN VOTAPKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO RN.1624433) |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: CO RN.1624433) |
163WX1500X Registered Nurse, Ostomy Care (Licence: CO RN.1624433) | |
Enumeration Date | 2017-07-13 |
Last Update Date | 2022-07-21 |