| NPI | 1538864004 |
|---|---|
| Former Name | ASHLEY MARIE BRYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11025574) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |