NPI | 1033414719 |
---|---|
Former Name | ASHLEY MARY WHITTAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA 25MP00255000) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00255000) |
Enumeration Date | 2011-01-11 |
Last Update Date | 2016-06-09 |