NPI | 1497305163 |
---|---|
Former Name | ASHLEY LYNN WEPASNICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0007488) |
Enumeration Date | 2019-09-16 |
Last Update Date | 2025-08-06 |