| NPI | 1457904831 |
|---|---|
| Former Name | TARA M BOYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209019755) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041402638) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-08-13 |