| NPI | 1366719882 |
|---|---|
| Former Name | LYNN M TALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DE C5-0001002) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA055295) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2016-06-24 |