| NPI | 1104194729 |
|---|---|
| Former Name | ASHLEY NICOLE BUIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070.018823) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 10609) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2017-01-23 |