NPI | 1053573568 |
---|---|
Former Name | ASHLEY LYNN MEEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME128035) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 15425) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2017-01-20 |