| NPI | 1770073587 |
|---|---|
| Former Name | ASHTON MARIE HIATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085009916) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: KS 15-02205) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2023-09-25 |