| NPI | 1326641499 |
|---|---|
| Former Name | ASHLEY ANN RICKETTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3015479) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 3015479) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2024-02-20 |