NPI | 1164769642 |
---|---|
Former Name | KENDRA LIN YALE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA PA60770038) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA60770038) |
Enumeration Date | 2013-01-03 |
Last Update Date | 2023-08-24 |