NPI | 1720345184 |
---|---|
Former Name | ASHLEY MARIE GARNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2018-02364) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: LA MD.206753) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2018-02364) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-23 |
Last Update Date | 2021-04-30 |