NPI | 1255581799 |
---|---|
Former Name | ASHLEY TOWATER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN APN13632) |
Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: LA 212650) |
Enumeration Date | 2008-09-21 |
Last Update Date | 2020-08-04 |