| NPI | 1154784593 |
|---|---|
| Former Name | TAMRA JOY RICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A162430) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2019-09-07 |