NPI | 1053506436 |
---|---|
Former Name | SARAH YOST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C03587) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA053347) |
363AS0400X Physician Assistant Surgical (Licence: MD T0003587) | |
Enumeration Date | 2007-09-10 |
Last Update Date | 2021-05-10 |