NPI | 1699217463 |
---|---|
Former Name | ASHLEY C MOYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9113389) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA058493) |
Enumeration Date | 2016-11-10 |
Last Update Date | 2022-11-15 |