NPI | 1063306900 |
---|---|
Former Name | ASHLEY DEE BODE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 116166) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 90571) |
Enumeration Date | 2025-06-05 |
Last Update Date | 2025-07-18 |