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 |