| NPI | 1639641038 |
|---|---|
| Former Name | HALEY SUZANNE ASHWORTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA6908) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-12-23 |
| Last Update Date | 2023-06-06 |