| NPI | 1760739841 |
|---|---|
| Professional Name | DOROTHY TATA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 46953) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 29385) |
| 207Q00000X Family Medicine (Licence: FL me110928) | |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2017-01-19 |