| NPI | 1548735228 |
|---|---|
| Former Name | TARAH E WOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12496) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2023-03-14 |