NPI | 1609169499 |
---|---|
Other Name | TRICIA LYB FAIRCHILD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA R-09884) |
Additional Taxonomies | 208800000X Urology (Licence: IA R-9144) |
Enumeration Date | 2011-05-26 |
Last Update Date | 2022-01-04 |