| NPI | 1184104622 |
|---|---|
| Former Name | ASHLEY MARTELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12757) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant, Medical (Licence: CO PA.0005510) | |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2026-04-20 |