NPI | 1942842018 |
---|---|
Former Name | TAMARRA LAMPRECHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019900) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209019900) |
Enumeration Date | 2019-10-10 |
Last Update Date | 2024-09-27 |