| NPI | 1821472390 |
|---|---|
| Former Name | ASHTYN JUNE BOHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0876) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2021-11-16 |