| NPI | 1336479658 |
|---|---|
| Former Name | ASHLEY MARIE CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN202956) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2023-09-07 |