| NPI | 1134679178 |
|---|---|
| Former Name | JULIE YERKES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA004499) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA059887) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2020-09-10 |