| NPI | 1821061250 |
|---|---|
| Former Name | PAMELA L ASHFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MO 131115) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MO 131115) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 131115) | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2021-09-01 |