| NPI | 1154728442 |
|---|---|
| Former Name | TARA MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP014167) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP014167) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2020-06-16 |