| NPI | 1851040703 |
|---|---|
| Former Name | ANA MELISSA ZUMWALT TANNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 94668) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-03-19 |
| Last Update Date | 2025-07-01 |