NPI | 1023077997 |
---|---|
Other Name | ASHLEY D. MCCLELLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA 9103557) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9103557) |
Enumeration Date | 2006-03-20 |
Last Update Date | 2022-04-20 |