| NPI | 1457636458 |
|---|---|
| Former Name | ASHLEY BROOKE BURROUGHS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN169449) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN169449) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2022-02-09 |