NPI | 1033625785 |
---|---|
Former Name | ASHLEY ELIZABETH BRANDENBURG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH 425832) |
Enumeration Date | 2017-12-18 |
Last Update Date | 2019-08-03 |