| NPI | 1295354470 |
|---|---|
| Former Name | TARA MARIE BACHOFER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 69135) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ FL2633837) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2023-04-26 |