| NPI | 1144451139 |
|---|---|
| Former Name | TAMMIE J RAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 1306) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 2819-23) |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2019-05-13 |