NPI | 1881246502 |
---|---|
Former Name | ARIEL ASHLEY ANGLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2019021922) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MO 2019021922) |
Enumeration Date | 2019-07-12 |
Last Update Date | 2025-09-08 |