| NPI | 1447480884 |
|---|---|
| Former Name | ASHLEY NICOLE BASSETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL AN5240394-9602) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2021-06-22 |