| NPI | 1609185859 |
|---|---|
| Former Name | ASHLEY VAUGHN LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R869971) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS R869971) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2024-02-16 |