NPI | 1700215332 |
---|---|
Former Name | ASHLEY VIRGINIA REED |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00554000) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP013336) |
Enumeration Date | 2013-11-04 |
Last Update Date | 2020-10-06 |