| NPI | 1023465895 |
|---|---|
| Former Name | ASHLEY HENNESSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OR MD21180) |
| Additional Taxonomies | 208600000X Surgery (Licence: LA 308622) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: AL 42413) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2022-10-13 |