NPI | 1659596500 |
---|---|
Former Name | ALICE M YUNKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00475300) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00475300) |
Enumeration Date | 2007-04-16 |
Last Update Date | 2024-04-11 |