NPI | 1285108316 |
---|---|
Former Name | SAMANTHA MARY ASLAGSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0008359) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0001314) |
Enumeration Date | 2019-01-11 |
Last Update Date | 2024-05-15 |