| NPI | 1073815155 |
|---|---|
| Former Name | ASHLEY ANN CANFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: GA AT001749) |
| Additional Taxonomies | 156FX1900X Technician/Technologist, Orthoptist |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2019-02-19 |