| NPI | 1942784475 |
|---|---|
| Former Name | ASHLEY MARIA WENGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: PA MA060153) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA060153) |
| 363A00000X Physician Assistant (Licence: PA OA004626) | |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2024-05-08 |