| NPI | 1962686014 |
|---|---|
| Former Name | ASHLEY DAWN BATESOLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-2048) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA01422) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2024-05-01 |