| NPI | 1467652404 |
|---|---|
| Former Name | TARA J JOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 110865) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 110865) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2021-04-23 |