| NPI | 1043246812 |
|---|---|
| Former Name | TARA M NASH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2000158992) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 45836) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2023-04-11 |