NPI | 1376863126 |
---|---|
Former Name | ASHLEY SHUPIENIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: CO ANT.0000008) |
Additional Taxonomies | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000171) |
Enumeration Date | 2010-06-03 |
Last Update Date | 2023-12-08 |