| NPI | 1346735842 |
|---|---|
| Former Name | TARA LEIGH TERRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1110293) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO C-RXN.0100240-C-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5010665) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0100334-C-NP) | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2023-08-04 |