| NPI | 1043051188 |
|---|---|
| Former Name | ASHLEY BROOKE DEBROT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 9411898) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 9411898) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |