| NPI | 1578882569 |
|---|---|
| Former Name | ASHAUNTA RACHELLE TUMBLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A116905) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A116905) |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2023-11-20 |