NPI | 1871957910 |
---|---|
Former Name | ASHLEY MARIE CARSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH 473443) |
Enumeration Date | 2016-04-05 |
Last Update Date | 2020-06-14 |