| NPI | 1265003123 |
|---|---|
| Former Name | ASHLEY NICOLE FOGLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 204620) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0117572) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2023-04-05 |