| NPI | 1306393103 |
|---|---|
| Former Name | TARAH LYNN ROBERTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA186912) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2021-04-21 |