| NPI | 1720244411 |
|---|---|
| Former Name | ASHLEY SUZANNE NIX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 36702) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036122515) |
| 207Q00000X Family Medicine (Licence: NC 2011-01916) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2021-08-24 |