| NPI | 1497053847 |
|---|---|
| Former Name | TARA JEAN LITTLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP9313131) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2021-09-29 |