| NPI | 1053715474 |
|---|---|
| Former Name | ASHLEY KRISTIN WINKWORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA057093) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA003407) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2019-12-02 |