| NPI | 1679959993 |
|---|---|
| Former Name | TARA CELESTE HYLTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ RNP314684) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN 296250) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2025-03-13 |