| NPI | 1962441402 |
|---|---|
| Former Name | TAMRA ELIZABETH WILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CO 118923) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |