| NPI | 1356680524 |
|---|---|
| Former Name | ASHLEY LYNN VOLLENWEIDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 22769) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 792219) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2016-11-18 |