| NPI | 1316217946 |
|---|---|
| Former Name | TARA LEAH TEPLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NE 111185) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NE 111280) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2013-08-15 |