| NPI | 1841558079 |
|---|---|
| Former Name | ASHLEE NICOLE GODSHALK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NJ 25MA10648800) |
| Additional Taxonomies | 208600000X Surgery (Licence: NJ 25MA10648800) |
| 208600000X Surgery (Licence: PA MD468677) | |
| 208600000X Surgery (Licence: TX R2857) | |
| 208800000X Urology (Licence: NH R2333) | |
| 208C00000X Colon & Rectal Surgery (Licence: PA MD468677) | |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2021-04-27 |