| NPI | 1326029158 |
|---|---|
| Former Name | TRICIA KAYE WARNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01063240) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 36101716) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2024-09-06 |