| NPI | 1669413126 |
|---|---|
| Former Name | TAMARA L WILLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 44373) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: HI MD-13841) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2016-07-12 |