NPI | 1477049922 |
---|---|
Former Name | ASHLEY M. SPICKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 112536) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 112536) |
Enumeration Date | 2018-07-09 |
Last Update Date | 2018-07-09 |