NPI | 1962019877 |
---|---|
Former Name | ASHLEY R CHLUPACEK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95033443) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 222614-30) |
Enumeration Date | 2020-09-24 |
Last Update Date | 2025-01-09 |