| NPI | 1043645229 |
|---|---|
| Former Name | TIA BINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 330282) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 77781) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2024-06-25 |