| NPI | 1366196768 |
|---|---|
| Former Name | ASHLEY LAUREN RENFROW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R199137) |
| Enumeration Date | 2022-02-05 |
| Last Update Date | 2022-02-05 |