NPI | 1285016329 |
---|---|
Former Name | ELIZABETH ASHLEY BARRY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN00718) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2268064) |
Enumeration Date | 2015-06-25 |
Last Update Date | 2019-05-16 |