NPI | 1942376165 |
---|---|
Other Name | LORI J TATAY-YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MI 5601004900) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NH EL31055) |
Enumeration Date | 2006-11-28 |
Last Update Date | 2024-05-29 |