| NPI | 1417509407 |
|---|---|
| Former Name | TARA SCOTT, PALAZZO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277002042) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 377001970) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2022-07-13 |