| NPI | 1386619856 |
|---|---|
| Former Name | TAMMIE D MANESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 981) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 981) |
| 363AM0700X Physician Assistant, Medical (Licence: OK 981) | |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2025-05-15 |