NPI | 1609272970 |
---|---|
Former Name | ASHLEY M DEMYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP014451) |
Enumeration Date | 2014-11-13 |
Last Update Date | 2018-02-23 |