| NPI | 1316112451 |
|---|---|
| Former Name | TARA CELESTE WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 82005) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: MA 222300) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2023-09-27 |