NPI | 1538435730 |
---|---|
Former Name | ASHLEY ELIZABETH VLK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601006337) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2012-04-01 |
Last Update Date | 2018-06-29 |