NPI | 1831553551 |
---|---|
Former Name | ASHLEY MOEHRING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OR MD206261) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: UT 11579908-1205) |
207R00000X Internal Medicine (Licence: TX BP10056245) | |
Enumeration Date | 2016-04-08 |
Last Update Date | 2021-12-10 |