| NPI | 1205832565 |
|---|---|
| Former Name | TANYA DEUKMEDJIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11006386) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH9229) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2020-03-11 |