| NPI | 1689666158 |
|---|---|
| Other Name | MARIA TAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX F3356) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX F3356) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2010-03-31 |