| NPI | 1992145676 |
|---|---|
| Former Name | TARA LENORE CECIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: AZ AP5130) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2017-04-03 |