NPI | 1891059911 |
---|---|
Former Name | TARALEE ANN KEMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX T7471) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP60582145) |
Enumeration Date | 2012-07-03 |
Last Update Date | 2023-01-27 |