NPI | 1093925992 |
---|---|
Former Name | ASHLEY ELIZABETH KANE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 007816) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2007-05-22 |
Last Update Date | 2017-11-27 |