| NPI | 1487255568 |
|---|---|
| Former Name | ASHLEY LILLIAN STOUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209022369) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209022369) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2023-07-03 |