| NPI | 1952342636 |
|---|---|
| Former Name | HEATHER BROOKE TATE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD26770) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 04-30259) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2023-08-30 |