| NPI | 1649912791 |
|---|---|
| Former Name | ASHLEIGH ELIZABETH PUCKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5016131) |
| Additional Taxonomies | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: NC 104982351) |
| Enumeration Date | 2022-04-10 |
| Last Update Date | 2022-05-31 |