| NPI | 1982999397 |
|---|---|
| Former Name | ASHLEY KERYN MCCABE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MN R160709-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: AZ AP4095) |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2017-02-09 |