NPI | 1487993010 |
---|---|
Former Name | ASHLEY E FENSKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5239) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 155704) |
Enumeration Date | 2013-02-01 |
Last Update Date | 2020-12-30 |