| NPI | 1992834253 |
|---|---|
| Former Name | TARA TILLINGHAST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI NPP33665) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: RI APRN00272) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2018-04-05 |