| NPI | 1023686482 |
|---|---|
| Former Name | ASHLEY MARIE HENNINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 208600000X Surgery (Licence: OH 1177154) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2023-05-22 |