NPI | 1285074740 |
---|---|
Other Name | TIA DORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 172318) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125064108) |
207Q00000X Family Medicine (Licence: IN 01081650A) | |
Enumeration Date | 2013-06-28 |
Last Update Date | 2023-08-16 |