NPI | 1134653314 |
---|---|
Former Name | ASHLEY E MILLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.004995RX) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OH 50.004995RX) |
Enumeration Date | 2017-04-14 |
Last Update Date | 2024-09-10 |