| NPI | 1285003806 |
|---|---|
| Former Name | ASHLEY LYNN VICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA10037) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2024-07-26 |