| NPI | 1720648173 |
|---|---|
| Former Name | TARA ROMANYSHYN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS021582) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS021582) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT019490) | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2024-07-15 |