NPI | 1326502063 |
---|---|
Former Name | LYNDSIE YONTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-10674) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2019002743) |
363AS0400X Physician Assistant, Surgical (Licence: NC 0010-10674) | |
Enumeration Date | 2019-01-28 |
Last Update Date | 2023-02-14 |