NPI | 1699194399 |
---|---|
Former Name | ASHLEY ELIZABETH BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096.003356) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-09 |
Last Update Date | 2021-05-25 |