| NPI | 1629637327 |
|---|---|
| Former Name | ASHLEY LYNN MARNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA7126) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2022-05-05 |