| NPI | 1720221815 |
|---|---|
| Former Name | AYANA CHASE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: VA 0101276595) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: GA 071673) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2023-08-08 |