NPI | 1508850108 |
---|---|
Former Name | ASHLEY CARMEL ROSS, YOHO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA 60182473) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 21747) |
Enumeration Date | 2005-09-09 |
Last Update Date | 2019-04-23 |