| NPI | 1295122687 |
|---|---|
| Former Name | JOELLE ERIN TANGUY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA060180) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MD C0005807) |
| 363A00000X Physician Assistant (Licence: MD C0005807) | |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2024-05-23 |