NPI | 1861817660 |
---|---|
Former Name | ASHLEY ANNA YAGER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601006904) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MI 5601006904) |
Enumeration Date | 2014-03-03 |
Last Update Date | 2015-04-29 |