| NPI | 1992035778 |
|---|---|
| Former Name | TARA L. HYTREK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A123906) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 111084) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2018-11-06 |