| NPI | 1154349801 |
|---|---|
| Former Name | TAMARA G RICHMOND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110002966) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 01193) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2021-11-30 |