| NPI | 1225432024 |
|---|---|
| Former Name | ASHLEY FITZGERALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 018144) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 18144) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2023-05-15 |