NPI | 1992406615 |
---|---|
Former Name | ASHLEY ELIZABETH HOLBROOK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: LA 229510) |
Enumeration Date | 2023-03-10 |
Last Update Date | 2023-08-28 |