NPI | 1033737085 |
---|---|
Former Name | ASHLEY RYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0026810) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015176) |
Enumeration Date | 2020-07-07 |
Last Update Date | 2023-08-08 |