NPI | 1841716834 |
---|---|
Former Name | ASHLEY M SHIELDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: AZ AP10351) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ AP10351) |
363LF0000X Nurse Practitioner Family (Licence: IN 71014799A) | |
Enumeration Date | 2017-08-21 |
Last Update Date | 2024-02-21 |