| NPI | 1265678478 |
|---|---|
| Former Name | TANNA L. STROUP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0003831) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OK 1782) |
| 363AM0700X Physician Assistant, Medical (Licence: CO 0003831) | |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2015-07-10 |