| NPI | 1720621154 |
|---|---|
| Former Name | ASHLEY LAINE EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019036577) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: MO 2002015387) |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2023-10-30 |