| NPI | 1184677536 |
|---|---|
| Former Name | TAMMIE S WARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL 96) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AL PA-96) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-05-14 |