NPI | 1609197045 |
---|---|
Former Name | ASHLEY BETH THIMONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 307078) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.007953) |
Enumeration Date | 2010-06-21 |
Last Update Date | 2015-07-29 |