NPI | 1235422304 |
---|---|
Former Name | ASHLEY L RAPP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA0372) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085005386) |
363A00000X Physician Assistant (Licence: NV PA1838) | |
Enumeration Date | 2011-05-24 |
Last Update Date | 2022-07-21 |