NPI | 1235358938 |
---|---|
Former Name | TAWANDA G COVEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 070692) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A98895) |
207Q00000X Family Medicine (Licence: TN 57005) | |
Enumeration Date | 2007-04-24 |
Last Update Date | 2018-03-17 |