| NPI | 1922303734 |
|---|---|
| Former Name | ASHLEY GAIL FARMER |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-02588) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK 2003) |
| 363AM0700X Physician Assistant, Medical (Licence: OK 2003) | |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2022-07-06 |