| NPI | 1811762305 |
|---|---|
| Former Name | ASHLEY CUNNINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024188674) |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |