| NPI | 1114286762 |
|---|---|
| Former Name | TANIA SELLERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME128779) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2023-10-16 |