| NPI | 1164812640 |
|---|---|
| Former Name | ASHLEY MARIE BRAWFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126001434) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2025-11-18 |