| NPI | 1073073599 |
|---|---|
| Former Name | ASHLEY NICOLE IMMORDINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71008871A.) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2021-11-08 |