| 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 |