NPI | 1295921914 |
---|---|
Former Name | ASHLEY TRAHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: LA PA.200139) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: LA PA.200139) |
Enumeration Date | 2007-09-16 |
Last Update Date | 2024-08-01 |