| NPI | 1669418935 |
|---|---|
| Former Name | SHEILA BENITIA TRIPLETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02003529A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 1591) |
| 207Q00000X Family Medicine (Licence: OK 3996) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2022-08-03 |