NPI | 1073774196 |
---|---|
Former Name | TEMA LYNN BASSETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID O-0546) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MR-0990) |
Enumeration Date | 2008-06-20 |
Last Update Date | 2023-04-27 |