NPI | 1013107580 |
---|---|
Former Name | TANYA L KLEINSCHMIT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SD 0687) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 1335) |
Enumeration Date | 2007-07-30 |
Last Update Date | 2013-02-22 |