NPI | 1619942406 |
---|---|
Former Name | SHERRI A TUPPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 204943) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME119878) |
Enumeration Date | 2006-02-23 |
Last Update Date | 2024-01-03 |