| NPI | 1760660070 |
|---|---|
| Former Name | TARA A WEATHERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00110) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 8686) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37450) | |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2020-02-11 |