| NPI | 1609910132 |
|---|---|
| Former Name | TARA ATHA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP-09226) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.09226) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2024-10-28 |