| NPI | 1891928354 |
|---|---|
| Former Name | TARA WATKINS CLEMENTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005826) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00245700) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2012-10-12 |