NPI | 1396264172 |
---|---|
Former Name | VERONICA ASHLEY SELIGMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN78695-FNP-BC) |
Enumeration Date | 2017-09-13 |
Last Update Date | 2019-10-11 |