NPI | 1962852103 |
---|---|
Former Name | ASHLEY MAJOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: TN 71688) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NV 19327) |
Enumeration Date | 2016-06-19 |
Last Update Date | 2024-10-01 |