| NPI | 1477228195 |
|---|---|
| Former Name | ASHLEIGH RENEE GAYNEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0029633) |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2022-09-13 |