| NPI | 1881738359 |
|---|---|
| Former Name | TARA NICOLE MCKNIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH CNP.022062) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: OH RN.354009) |
| 376K00000X Nurse's Aide (Licence: OH 400443531204) | |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2018-03-17 |