NPI | 1972021673 |
---|---|
Former Name | ASHLEY SWEENEY WEATHERSBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP135022) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403677) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 11205) | |
Enumeration Date | 2017-09-01 |
Last Update Date | 2023-12-13 |