NPI | 1023324845 |
---|---|
Former Name | ASHLEY CLAIRE CLEVELAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382285) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ TAP3758) |
Enumeration Date | 2010-08-31 |
Last Update Date | 2023-07-07 |