NPI | 1871168997 |
---|---|
Former Name | ASHLEY BEYKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 10332) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 10332) |
Enumeration Date | 2021-05-21 |
Last Update Date | 2024-06-19 |