| NPI | 1417797143 |
|---|---|
| Former Name | CARLEY KIMBERLY TARALLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 125.084557) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-06-13 |