| NPI | 1386182269 |
|---|---|
| Former Name | LAURA ANN TANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN PA0000003184) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 8258) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2021-06-14 |