NPI | 1558990986 |
---|---|
Former Name | ASHLEY CAPACE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 336164) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2020-04-07 |
Last Update Date | 2023-11-08 |