NPI | 1932973468 |
---|---|
Former Name | ASHLEE N MCCARTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014748A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28190771A) |
Enumeration Date | 2023-11-15 |
Last Update Date | 2023-12-14 |