NPI | 1366110777 |
---|---|
Former Name | ASHLEY MARIE FITZPATRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP023657) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NJ 26NR18700000) |
363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ01156400) | |
Enumeration Date | 2021-08-31 |
Last Update Date | 2023-03-18 |