NPI | 1649420209 |
---|---|
Former Name | YOLANDA T FREEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9104662) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9104662) |
Enumeration Date | 2008-09-19 |
Last Update Date | 2023-05-18 |