NPI | 1447651542 |
---|---|
Former Name | ASHLEY TAYLOR COVERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 20141522) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 242031) |
Enumeration Date | 2014-09-08 |
Last Update Date | 2017-01-31 |