| NPI | 1083948921 |
|---|---|
| Former Name | TYNETTA MAGEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IN 09-270) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2016-01-13 |