NPI | 1851744577 |
---|---|
Former Name | ASHLEY JEAN WEBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 14574) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OR PA178867) |
Enumeration Date | 2016-07-18 |
Last Update Date | 2023-09-27 |