NPI | 1306249966 |
---|---|
Former Name | ASHLEY DAWN GUNNO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 73335) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 73335) |
Enumeration Date | 2014-09-26 |
Last Update Date | 2022-01-03 |