| NPI | 1578719894 |
|---|---|
| Professional Name | TINA MARIE MYERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: NY NA) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NA) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |