| NPI | 1003216714 |
|---|---|
| Former Name | ASHLEIGH LAUREN RAPP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101269664) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX R9768) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2020-09-28 |