| NPI | 1790957496 |
|---|---|
| Former Name | DEBBY YOHANNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA 06711) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 001958) |
| 363A00000X Physician Assistant (Licence: NY 011589) | |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2015-08-18 |