| NPI | 1619288172 |
|---|---|
| Former Name | TARA ANN HOLSTEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA 20A13609) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: CA 20A13609) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2024-04-25 |