NPI | 1922308931 |
---|---|
Former Name | ASHLEY J TUCKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: PA SP011085) |
Enumeration Date | 2010-10-25 |
Last Update Date | 2014-01-02 |