| NPI | 1831343581 |
|---|---|
| Former Name | TARA MICHELLE BARLOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 015608-1) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: MA 2606) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2024-11-18 |