| NPI | 1619038288 | 
|---|---|
| Former Name | ASHLEY MCCLAIN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601006385) | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085-001923) | 
| Enumeration Date | 2006-12-13 | 
| Last Update Date | 2023-11-17 |