Thanks for your help. I am not exactly sure what fixed it but I did a few things:
increase extruder temp to 205C
Set my Z-axis home closer to the plate. An index card feels some resistance when placed between tip and glass.
Set extruder diameter to actual diameter of 0.4mm
Made sure to get a "running start" by forcing some filament through the extruder, then tightening the hobbed bolt and zero the extruder axis.
Then I printed an object! I need to do some tuning as some of the fine details ended up looking hairy.