| NPI | 1831485150 |
|---|---|
| Former Name | ASHLEY RAE ECHEVERRIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085004045) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WI 2783-23) |
| 363AS0400X Physician Assistant, Surgical (Licence: IL 085-004045) | |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2022-10-12 |