| NPI | 1568418515 |
|---|---|
| Former Name | TARA N WEATHERFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SC APRN2026) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-09 |