NPI | 1972573038 |
---|---|
Former Name | TINA DARNISE COVINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 24607) |
Additional Taxonomies | 174400000X Specialist (Licence: TN MD024607) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2024-01-03 |