| NPI | 1720683899 |
|---|---|
| Former Name | SHAMARON ALEEYA BATCHELOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9115375) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 10172) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2023-04-19 |