| NPI | 1093173411 |
|---|---|
| Former Name | TIA MCPIKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2279E1000X Respiratory Therapist, Registered Educational (Licence: MO 2006027063) |
| Additional Taxonomies | 2279H0200X Respiratory Therapist, Registered Home Health (Licence: MO 2006027063) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |