NPI | 1114977972 |
---|---|
Other Name | EUSTACIA LEE ELLEN PRATT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD32135) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TN 32135) |
Enumeration Date | 2006-05-11 |
Last Update Date | 2025-09-10 |