| NPI | 1598269516 |
|---|---|
| Former Name | ASHLEY MARIE NIEVES ARCHIBALD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 291696) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2024-12-11 |