| NPI | 1164687984 |
|---|---|
| Former Name | ASHLEY KATHERINE HERTEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WI 2271) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 2271023) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2023-12-05 |