NPI | 1265077234 |
---|---|
Former Name | HANNAH ALEXIS TUNKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.2142) |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 9544) |
363A00000X Physician Assistant (Licence: TN 9354) | |
Enumeration Date | 2019-11-13 |
Last Update Date | 2023-04-13 |