| NPI | 1770965220 |
|---|---|
| Other Name | TINA LY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C186952) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35.133672) |
| 207Q00000X Family Medicine (Licence: WV 30002) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2023-09-11 |