NPI | 1053385526 |
---|---|
Former Name | ASHLEY ANN BASTEN (FEAVER-MAIDEN) |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MT 12353) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 12353) |
Enumeration Date | 2006-02-14 |
Last Update Date | 2018-10-15 |