NPI | 1225115033 |
---|---|
Former Name | TANYA C. BELLIARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0101057543) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC 030442) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2015-11-10 |