| NPI | 1164603791 |
|---|---|
| Former Name | JANICE YATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA052004) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA60056456) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2012-05-29 |