NPI | 1861053209 |
---|---|
Former Name | ASHLEY MARIE SELLERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3013315) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3013315) |
Enumeration Date | 2019-06-26 |
Last Update Date | 2020-10-29 |