| NPI | 1699116327 |
|---|---|
| Former Name | ASHLEY BERIT BAKKEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 74876) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A129131) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2023-12-14 |