| NPI | 1205188349 |
|---|---|
| Other Name | TANIS MCCOWAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA063270) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: DE C-50000844) |
| Enumeration Date | 2012-10-14 |
| Last Update Date | 2022-03-14 |