NPI | 1245685494 |
---|---|
Former Name | ASHELY FISH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CO 1640616) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 736108) |
Enumeration Date | 2016-04-25 |
Last Update Date | 2021-02-25 |