NPI | 1558348052 |
---|---|
Former Name | ASHLEY L. FAUREST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN15747) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 1099003) |
363L00000X Nurse Practitioner (Licence: KY 4751P ARNP) | |
Enumeration Date | 2005-12-27 |
Last Update Date | 2012-07-27 |