NPI | 1386763977 |
---|---|
Former Name | TANYA A FERRELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN PA0000000710) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 710) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2016-04-06 |