NPI | 1801116322 |
---|---|
Former Name | ASHLEY PORTER WESTPHAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 13960628-4405) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 33668) |
Enumeration Date | 2010-06-07 |
Last Update Date | 2024-12-03 |