| NPI | 1346509221 |
|---|---|
| Former Name | TARA JEHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50003403) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 50.003403) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2015-10-12 |