| NPI | 1184944373 |
|---|---|
| Former Name | ROSE TRESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35121991) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 27864) |
| 207R00000X Internal Medicine (Licence: MI 4301505629) | |
| 207Q00000X Family Medicine (Licence: VA 0101275985) | |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2023-06-21 |