| NPI | 1184803090 |
|---|---|
| Former Name | TANYA MARIE MCGLOTHLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX M8267) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10021876) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2017-01-02 |