| NPI | 1710139613 |
|---|---|
| Former Name | ASHLEY S HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA053656) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OA006507) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2023-07-19 |