| NPI | 1801365473 |
|---|---|
| Former Name | ASHLEY PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03337858) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WV RP0010151) |
| 183500000X Pharmacist (Licence: KY 019323) | |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2021-01-21 |