| NPI | 1902114549 |
|---|---|
| Former Name | ASHLEY ANN SOUTHWICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN9307506) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9307506) |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2022-12-08 |