| NPI | 1871991752 |
|---|---|
| Former Name | ASHLEY ELIZABETH DEGEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: 904231142) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 904231142) |
| 174400000X Specialist (Licence: NY 904230412) | |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-09 |