| NPI | 1205353224 |
|---|---|
| Former Name | ASHLEY SHAE WILLIFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TN 22957) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1216593) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 1216593) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 4046251) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 4046251) | |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2025-11-17 |