NPI | 1922302462 |
---|---|
Former Name | ASHLEY PIPER GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA0003071) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2013001189) |
Enumeration Date | 2010-12-24 |
Last Update Date | 2021-04-05 |