NPI | 1073058541 |
---|---|
Former Name | ELEANOR J TANSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA6586) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH 1246) |
Enumeration Date | 2016-12-20 |
Last Update Date | 2018-10-11 |