NPI | 1407962558 |
---|---|
Former Name | TAMMY BAKER BASIRI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 24034) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: TN 024034) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2011-09-16 |