| NPI | 1851087837 |
|---|---|
| Former Name | TANYA JOSEPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME178147) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2026-05-14 |