| NPI | 1609032895 |
|---|---|
| Former Name | TARA CARMEN KUNKLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO 2012029906) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-050752) |
| 208000000X Pediatrics (Licence: IL 036122800) | |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2012-10-03 |