NPI | 1225627227 |
---|---|
Other Name | AYANNA RENTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 10571) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9114033) |
Enumeration Date | 2021-01-13 |
Last Update Date | 2022-04-27 |