| NPI | 1518229889 |
|---|---|
| Former Name | TARAH KIMBERLY DALY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9106656) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2017-12-27 |