| NPI | 1063815736 |
|---|---|
| Former Name | ASHLEY R MACIAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP014104) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP014104) |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2024-11-19 |