| NPI | 1902157571 |
|---|---|
| Former Name | TARA H HUBBART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR A003760) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 16972) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 1084095) | |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2024-03-28 |