NPI | 1831815067 |
---|---|
Former Name | TARA LEE MURDOCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 10879383-4405) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: UT 10879383) |
Enumeration Date | 2022-10-19 |
Last Update Date | 2023-09-21 |