| NPI | 1851390926 |
|---|---|
| Former Name | TANYA Y COTHRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0064619) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD034923) |
| 208000000X Pediatrics (Licence: SC 21020) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2021-06-15 |