| NPI | 1831406594 |
|---|---|
| Former Name | ASHLEY ROSEANNA FROEDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 0003691) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601005824) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2016-01-14 |