| NPI | 1386460285 |
|---|---|
| Former Name | ASHLEY ELISHA SURMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TN 319871) |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |