| NPI | 1295349967 |
|---|---|
| Former Name | TANYA PAVLAT, AND MCCAVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704297068) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704297068) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2022-03-22 |