| NPI | 1457804056 |
|---|---|
| Former Name | ABIGAIL L TENNANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.004877RX) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-07-31 |
| Last Update Date | 2024-08-05 |