| NPI | 1912296120 |
|---|---|
| Other Name | TARA LYNN AMATO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME119861) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2014-05-18 |