| NPI | 1609525575 |
|---|---|
| Former Name | CARALINE ASHLEY PIERCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110008504) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2022-03-19 |
| Last Update Date | 2024-04-30 |