NPI | 1164881595 |
---|---|
Former Name | ASHLEY MARIE BOYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71006470A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
163W00000X Registered Nurse (Licence: IN 28195214A) | |
Enumeration Date | 2016-02-13 |
Last Update Date | 2024-01-19 |