NPI | 1023597390 |
---|---|
Former Name | ASHLEY GLEASON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL Arnp9298077) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9298077) |
Enumeration Date | 2018-08-08 |
Last Update Date | 2020-06-09 |