| NPI | 1427512482 |
|---|---|
| Former Name | ASHLEY NICOLE MATTHYS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2019002363) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2015013644) |
| 163W00000X Registered Nurse (Licence: MN 2148805) | |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |