| NPI | 1184254732 |
|---|---|
| Former Name | ASHLY FAY ROACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71009703A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28191649A) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2021-03-09 |