NPI | 1689002008 |
---|---|
Former Name | ASHLEY ELIZABETH BAILES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9279688) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171300) |
Enumeration Date | 2013-10-22 |
Last Update Date | 2015-07-15 |