NPI | 1386987568 |
---|---|
Former Name | ASHLEY RENEE BRILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3008030) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0029517) |
363LF0000X Nurse Practitioner, Family (Licence: KY 1129920) | |
363L00000X Nurse Practitioner (Licence: IN 71012174A) | |
Enumeration Date | 2013-04-05 |
Last Update Date | 2023-11-07 |