NPI | 1720450620 |
---|---|
Former Name | ASHLYNN RITTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA057916) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA003652) |
Enumeration Date | 2015-10-30 |
Last Update Date | 2016-12-28 |