NPI | 1154383917 |
---|---|
Former Name | YOLANDA EVELYN MARTIN COTTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WA PA61031690) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX PA03103) |
Enumeration Date | 2006-04-05 |
Last Update Date | 2021-04-07 |