| NPI | 1245530989 |
|---|---|
| Former Name | ASHLEY CAROLINE WYATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 005983) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 005983) |
| 363AS0400X Physician Assistant, Surgical (Licence: GA 005983) | |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2015-03-11 |