NPI | 1790212983 |
---|---|
Former Name | MEGAN AASEBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA184037) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61081102) |
Enumeration Date | 2017-05-18 |
Last Update Date | 2020-09-22 |