| NPI | 1184695066 |
|---|---|
| Other Name | FELICIA ANNASTACIA TANNER-CORBETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA18576) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2022-01-11 |