| 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) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-06-09 |