| NPI | 1952697849 |
|---|---|
| Former Name | ASHLEY WILLOUGHBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: UT 11799166-1204) |
| Additional Taxonomies | 208D00000X General Practice (Licence: HI DOS-1527) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2020-06-11 |