| NPI | 1932461696 |
|---|---|
| Former Name | TAWNY E. ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02004742A) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2012011166) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2024-08-06 |