NPI | 1881022218 |
---|---|
Former Name | ASHLEY A LA TORRE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 7105-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 197670-30) |
Enumeration Date | 2013-10-22 |
Last Update Date | 2018-07-27 |