NPI | 1740701622 |
---|---|
Former Name | ASHLEY HOLLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP026439) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH APRN.CNP.020589) |
Enumeration Date | 2017-06-30 |
Last Update Date | 2023-06-12 |