| NPI | 1992861934 |
|---|---|
| Former Name | TAMATHA FRIZZELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ID M13514) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 158214) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2024-01-05 |