| NPI | 1720851900 |
|---|---|
| Former Name | ASHELY SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 801126) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 801226) |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2023-10-31 |