| NPI | 1912487190 |
|---|---|
| Former Name | INES YASBACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 9878) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 9878) |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA9111382) | |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2023-07-17 |