| NPI | 1346665668 |
|---|---|
| Former Name | TARA WELCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NH 1019) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 1019) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2025-04-15 |