NPI | 1891749156 |
---|---|
Former Name | TAMARA H LANGHOFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 1592) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 1592) |
363L00000X Nurse Practitioner (Licence: WI 1592) | |
Enumeration Date | 2006-05-20 |
Last Update Date | 2023-12-28 |