NPI | 1689905150 |
---|---|
Former Name | GENEVIEVE TAN CO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35-122566) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD440857) |
Enumeration Date | 2010-01-24 |
Last Update Date | 2022-04-08 |