| NPI | 1811134802 |
|---|---|
| Former Name | TARA REED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010120) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP010120) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP010120) | |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2020-12-19 |