| NPI | 1285635748 |
|---|---|
| Other Name | NICKY TANOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: PA MD0039830L) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2007-07-08 |