| NPI | 1306698048 |
|---|---|
| Former Name | ASHLEY LYNN CONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R239998) |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-04-22 |