NPI | 1235531013 |
---|---|
Former Name | ASHLEY BECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3008725) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008725) |
Enumeration Date | 2014-09-23 |
Last Update Date | 2016-02-08 |