NPI | 1023717295 |
---|---|
Former Name | AYSHALYNN PEREZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 5453) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TN 5453) |
Enumeration Date | 2023-02-27 |
Last Update Date | 2023-06-21 |