NPI | 1831619279 |
---|---|
Former Name | KATHRYN YARGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 4044-23) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2017-06-27 |
Last Update Date | 2025-03-26 |