| NPI | 1306506001 |
|---|---|
| Former Name | TARA E BOYLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 027868) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2023-05-22 |