| NPI | 1154047801 |
|---|---|
| Former Name | ASHLEY ROSE CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61367344) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G171432) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA RN61365832) | |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-11-21 |