| NPI | 1013467661 |
|---|---|
| Former Name | ASHLEY L CAPONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2017-09-07 |