NPI | 1144801887 |
---|---|
Former Name | ASHLEY SPEAKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9114521) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2021-04-15 |
Last Update Date | 2022-02-01 |