NPI | 1164794269 |
---|---|
Former Name | ASHLEY E EARLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP011901) |
Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: PA SP011901) |
Enumeration Date | 2012-02-04 |
Last Update Date | 2016-05-18 |