NPI | 1689345845 |
---|---|
Former Name | ASHLEY NICOLE MCPHEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1710I1002X Military Health Care Provider, Independent Duty Corpsman |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NC 077006) |
Enumeration Date | 2021-09-27 |
Last Update Date | 2021-09-27 |