| NPI | 1740772250 |
|---|---|
| Former Name | TYLER B CHANEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003593A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0006830) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2024-11-04 |