| NPI | 1669642237 |
|---|---|
| Former Name | TAHIRAH A TYRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME115083) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ME115083) |
| 207Q00000X Family Medicine (Licence: NY 269460) | |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2024-04-13 |