| NPI | 1518237353 |
|---|---|
| Former Name | TARA L DILLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: SC 24077) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP011620) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2021-01-22 |