| NPI | 1730535162 |
|---|---|
| Former Name | TIA BUMPUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01090134A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VT 042.0014788) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2023-10-02 |