NPI | 1508099425 |
---|---|
Former Name | YVONNE LUNEKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50-002758) |
Enumeration Date | 2009-08-26 |
Last Update Date | 2021-11-03 |