NPI | 1316263494 |
---|---|
Former Name | ASHLEA L BARKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 5569) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 005659) |
Enumeration Date | 2010-04-14 |
Last Update Date | 2023-06-22 |