NPI | 1255983821 |
---|---|
Former Name | ASHLEY PIERSANTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024177060) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5012782) |
Enumeration Date | 2019-07-12 |
Last Update Date | 2021-04-21 |