NPI | 1003218470 |
---|---|
Former Name | ASHLEY SPAULDING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 50427) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY applying) |
Enumeration Date | 2014-09-17 |
Last Update Date | 2023-09-06 |