| NPI | 1437425261 |
|---|---|
| Former Name | TAMMY JEAN YANAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA 2000008978) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2019-01-29 |