| NPI | 1609916113 |
|---|---|
| Former Name | TANYA KAY ELSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 003677) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 003677) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2017-01-11 |