| NPI | 1386087153 |
|---|---|
| Former Name | ASHLEY PATRICE TATE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11972) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 2336) |
| 363A00000X Physician Assistant (Licence: PA MA060494) | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2023-06-14 |