| NPI | 1821405473 |
|---|---|
| Former Name | JO LISA ASHLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA1890) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2016-10-17 |