NPI | 1891026795 |
---|---|
Former Name | ASHLEY M SCHRADER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10001390A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MT 36064) |
Enumeration Date | 2010-01-18 |
Last Update Date | 2022-10-20 |