| NPI | 1619129582 |
|---|---|
| Former Name | ALLISON RENEE YOST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: CT 002155) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: CT 002155) |
| 363A00000X Physician Assistant (Licence: CT 002155) | |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2019-05-21 |