| NPI | 1093148736 |
|---|---|
| Former Name | ASHLEY ANN CORNWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9254706) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9254706) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2014-03-14 |