NPI | 1609226760 |
---|---|
Former Name | ASHLEY N MCMAHON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 9472) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA058223) |
Enumeration Date | 2016-06-20 |
Last Update Date | 2023-11-30 |