| NPI | 1962790329 |
|---|---|
| Former Name | ASHLEY E RIVARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IL 085004085) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085004085) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2024-05-23 |