NPI | 1215319272 |
---|---|
Former Name | ASHLEY MARIE SIMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA DO-05142) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-10296) |
Enumeration Date | 2015-06-25 |
Last Update Date | 2024-01-11 |