NPI | 1992474340 |
---|---|
Former Name | ASHLEY LEDBETTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 8743) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 8743) |
363A00000X Physician Assistant (Licence: AZ 8743) | |
Enumeration Date | 2021-09-09 |
Last Update Date | 2025-09-16 |