NPI | 1225492689 |
---|---|
Former Name | TANYA ELIZABETH LUKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR.0062839) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T2732) |
Enumeration Date | 2016-04-11 |
Last Update Date | 2024-10-07 |