| NPI | 1104266865 |
|---|---|
| Former Name | TARA GARBER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 11382) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2020-04-14 |