NPI | 1275976748 |
---|---|
Former Name | TARA MARIE HOBBIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: KY 52694) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.128684) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-15 |
Last Update Date | 2021-01-26 |