| NPI | 1912315482 |
|---|---|
| Former Name | ASHLEY ELIZABETH LOAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY R3442) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2015-06-29 |