| NPI | 1295105278 |
|---|---|
| Former Name | CARLY STEGALL YELVERTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MS PA00257) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MS PA00257) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2024-08-20 |