| NPI | 1154576221 |
|---|---|
| Other Name | TANYA J. MONTAVON/WHITMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209007248) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041322477) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 309003966) | |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2018-07-19 |