NPI | 1720244601 |
---|---|
Former Name | MONTESSA L TENNY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A111214) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX Q2541) |
Enumeration Date | 2008-07-31 |
Last Update Date | 2021-09-13 |