NPI | 1902283609 |
---|---|
Former Name | ASHLEY MARIE MEFFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 51322) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-05-01 |
Last Update Date | 2019-01-10 |