| NPI | 1992191969 |
|---|---|
| Former Name | ASHLEIGH ELIZABETH EBERLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA5522) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: RI PA00800) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2016-06-07 |