NPI | 1104294230 |
---|---|
Former Name | ASHLEY ELIZABETH TRIPLETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 195186) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 195186) |
Enumeration Date | 2015-09-06 |
Last Update Date | 2017-11-20 |