| NPI | 1821239377 |
|---|---|
| Former Name | ASHLEY MAREK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: RI PA01367) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MA PA3747) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2022-02-16 |