NPI | 1003248600 |
---|---|
Former Name | ASHLEY GARNEAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2270212) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2270212) |
363L00000X Nurse Practitioner (Licence: MA RN2270212) | |
Enumeration Date | 2013-08-06 |
Last Update Date | 2022-02-02 |