| NPI | 1700171972 |
|---|---|
| Former Name | TARA MICHELLE NEWCOMB |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 27135) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL33653) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2022-04-18 |