| NPI | 1801866686 |
|---|---|
| Former Name | MARTHA ELLEN TUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 1496) |
| Additional Taxonomies | 202D00000X Integrative Medicine (Licence: TN 1496) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2026-04-20 |