| NPI | 1013950674 |
|---|---|
| Former Name | TARA ELIZABETH MCERLEAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MD C0003056) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0003056) |
| 363AM0700X Physician Assistant, Medical (Licence: MD C0003056) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2011-04-06 |