| NPI | 1710934641 |
|---|---|
| Former Name | TANIKA REONTAE MATHIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD428458) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 70297) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2023-04-15 |