NPI | 1669729190 |
---|---|
Former Name | ASHLEY MARIE SHERRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11208) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 1753) |
Enumeration Date | 2012-08-15 |
Last Update Date | 2022-01-28 |