NPI | 1740771955 |
---|---|
Other Name | TARA TOMY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA064365) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9111145) |
Enumeration Date | 2018-05-23 |
Last Update Date | 2024-01-31 |