NPI | 1144714650 |
---|---|
Former Name | ASHLEY RAE SANKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 4401) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WI 4401-23) |
Enumeration Date | 2018-06-18 |
Last Update Date | 2018-07-12 |