| NPI | 1700998051 |
|---|---|
| Former Name | TARA L HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA051248) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA051248) |
| 363AS0400X Physician Assistant, Surgical (Licence: PA MA051248) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-03-17 |