NPI | 1134647142 |
---|---|
Former Name | ASHLEY M HOSHAW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA217403) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 4182-23) |
Enumeration Date | 2017-08-30 |
Last Update Date | 2023-12-20 |