| 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 |