NPI | 1295315752 |
---|---|
Former Name | ASHLEY RUPPEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: SC 86166) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL86166) |
Enumeration Date | 2021-04-09 |
Last Update Date | 2024-07-19 |