NPI | 1134530645 |
---|---|
Former Name | ASHLEY DANIELLE YOUNG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA056557) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA003164) |
Enumeration Date | 2014-05-19 |
Last Update Date | 2024-04-04 |