NPI | 1952737660 |
---|---|
Former Name | ASHLEY RUTH BRYAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN213727) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN213727) |
363L00000X Nurse Practitioner (Licence: FL APRN11022763) | |
Enumeration Date | 2013-09-26 |
Last Update Date | 2023-07-27 |