NPI | 1689631400 |
---|---|
Former Name | ASHLEY PHILLIPS MOTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: AR PT2636) |
Additional Taxonomies | 174400000X Specialist (Licence: AR PT2638) |
Enumeration Date | 2006-04-26 |
Last Update Date | 2011-06-13 |