| NPI | 1588398226 |
|---|---|
| Former Name | ASHLEE RACHAEL MASTELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WN1003X Registered Nurse, Nutrition Support (Licence: OK R0096572) |
| Enumeration Date | 2022-07-09 |
| Last Update Date | 2022-07-09 |