NPI | 1629425210 |
---|---|
Former Name | ASHLEY HAMPTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA10645) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA10645) |
Enumeration Date | 2016-05-24 |
Last Update Date | 2018-01-19 |