NPI | 1518369172 |
---|---|
Former Name | ASHLEY Y CEBULA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: KS 15-01728) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 15-01728) |
Enumeration Date | 2014-09-25 |
Last Update Date | 2023-03-02 |