NPI | 1598935595 |
---|---|
Former Name | TARA MARIE REILLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9179359) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL APRN9179359) |
Enumeration Date | 2008-03-05 |
Last Update Date | 2025-06-09 |