| NPI | 1982885414 |
|---|---|
| Former Name | TARA S WUNDERLICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95015265) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP017314) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0995403-NP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60794626) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 400990) | |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2022-02-23 |