NPI | 1578750568 |
---|---|
Former Name | ASHLEIGH LEWIS RENTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 005151) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 5151) |
Enumeration Date | 2007-10-03 |
Last Update Date | 2024-04-19 |