| NPI | 1134695265 |
|---|---|
| Former Name | AUBREY ROTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-803) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: AR PT2018-040) |
| 363A00000X Physician Assistant (Licence: NC 0010-09039) | |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2022-09-29 |