| NPI | 1700148780 |
|---|---|
| Former Name | ASHLEY NICOLE NORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PA MD456747) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 125815) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2016-10-12 |