NPI | 1467918458 |
---|---|
Former Name | ASHLEY L KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112716) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A158446) |
Enumeration Date | 2019-02-14 |
Last Update Date | 2025-01-28 |