| NPI | 1396269312 |
|---|---|
| Former Name | TARA MARIE O'TOOLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA2405) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 50.005132RX) |
| 363A00000X Physician Assistant (Licence: OH 50.005132RX) | |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2021-04-12 |