| NPI | 1477951168 |
|---|---|
| Former Name | ASHLEY NICOLE STAUBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008951) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 1125185) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2018-06-20 |