NPI | 1487071510 |
---|---|
Former Name | ASHLEY MARIE ROJAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME126562) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207Q00000X Family Medicine (Licence: FL 126562) | |
Enumeration Date | 2014-03-26 |
Last Update Date | 2020-09-30 |