| NPI | 1922176429 |
|---|---|
| Former Name | TARA BETH HIGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL ME162877) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 31333) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2023-08-16 |