| NPI | 1992709679 |
|---|---|
| Former Name | SONYA MARDEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2021-02209) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN DO1213) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2021-11-30 |