NPI | 1205131539 |
---|---|
Former Name | ASHLEY ELIZABETH NUTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 15579) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 15579) |
Enumeration Date | 2011-01-18 |
Last Update Date | 2023-06-01 |