NPI | 1356180905 |
---|---|
Former Name | ASHLEY LEVESQUE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OH 419556) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH 419556) |
Enumeration Date | 2024-05-22 |
Last Update Date | 2025-06-27 |