NPI | 1669948790 |
---|---|
Former Name | ASHLEY WIESMUELLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WI 148964) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: WI 184683) |
Enumeration Date | 2018-10-16 |
Last Update Date | 2018-12-14 |