NPI | 1306138003 |
---|---|
Other Name | TONYA ASHLEY FOWLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 006094) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA189982) |
Enumeration Date | 2011-05-12 |
Last Update Date | 2025-09-10 |