NPI | 1336726892 |
---|---|
Former Name | ARMIKA TATUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: OH FC4786197) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH FC4786197) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OH AM2789482) | |
Enumeration Date | 2021-03-29 |
Last Update Date | 2024-12-19 |