| NPI | 1063740249 |
|---|---|
| Former Name | TARA PALMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: KY 03485) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 03485) |
| 208000000X Pediatrics (Licence: OH 34.010565) | |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2013-11-22 |