NPI | 1801270087 |
---|---|
Former Name | ASHLEY BRONGEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 27821) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ANRP9272720) |
363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN9272720) | |
Enumeration Date | 2015-07-16 |
Last Update Date | 2024-06-10 |