NPI | 1881701308 |
---|---|
Former Name | PAMELA M YODER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209-006880) |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: AZ RN81005) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2014-05-28 |