| NPI | 1194814913 |
|---|---|
| Former Name | TONYA JOAN JANSSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD22050) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00037571) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |