NPI | 1992013957 |
---|---|
Former Name | TARA NANETTE HAMM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71003381A) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 28159376A) |
Enumeration Date | 2010-09-23 |
Last Update Date | 2023-03-24 |